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American Board of Internal Medicine (ABIM) Mission Statement “To enhance the quality of health care available to the American public by continuously improving the process and maintaining high standards for certifying individual internists and subspecialists who possess the knowledge, skills and attitudes essential for the provision of excellent medical care.” “Of the Profession…for the patient…”

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Patients and Physicians Believe In the Importance of Ongoing Assessment  The public expects, in return for the privilege of self-regulation, that physicians undergo a rigorous, periodic examination of knowledge. A recent ABMS consumer survey found 91 percent of respondents said that board certification is “very important” or “important” in choosing a doctor.   I believe I will serve my patients better.” Brennan, TA, Recertification for Internists – One “Grandfather’s” Experience, N Engl J Med. 353:1989-1991.  “Gaining a sense of success that is congruent with my core medical goals requires a different set of measures altogether.” Baron, RJ, Personal Metrics for Practice – How’m I Doing?, N Engl J Med 353:1991-1993.  “The recognition of quality outcomes has kept me in medicine. You need some sense that this is worth it. I’m getting the positive feedback. That’s where it’s at.” Dr. James Wilson, Putting Quality Into Practice (www.abimfoundation.org)

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Self-Evaluation of Practice Performance I know I have to do this, but I do not have data that I trust that tells me anything useful about my practice performance I don’t practice clinical medicine. I’m involved in a quality improvement project that has been pre-approved by ABIM for practice performance credit I have valid performance data using evidence-based measures, but I need a tool to support my QI project (or would like to report a project that is already completed) ACQI Program Self-Directed PIM, or Hospital PIM “Classic” PIMs (Practice Improvement Modules) Essentials of QI Module (for clinically inactive physicians)

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Where should I begin? How do I “order” my PIM and begin working on it? Example: Ordering the Self-Directed PIM From www.abim.org

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Self-Directed PIM  The SD PIM allows physicians or groups of physicians to use validated performance data to report on or begin a quality improvement activity  Process: 1.Collect data 2.Make a plan for improvement 3.Test the impact of your plan

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Self-Evaluation of Practice Performance Example:  ACC Door-to-Balloon (D2B) Time Initiative (20 points) I’m involved in a quality improvement project that has been pre-approved by ABIM for practice performance Credit. ACQI Program (option other than a PIM)

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ACQI: Door-to-Balloon (D2B)  1,100 hospitals participating in D2B  Serve as a leader or member of a team that worked on D2B in your institution  Submit attestation of your D2B participation in an ACQI (20 points each)  260 interventional cardiology diplomates have completed this option.

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Recertification in Cardiovascular Disease Subspecialties  In general, you do not need to maintain Certification in Internal Medicine to recertify in a subspecialty; however, a few exceptions apply: To be eligible for renewal of a certificate in Clinical Cardiac Electrophysiology or Interventional Cardiology, you must maintain a valid underlying certificate in cardiovascular disease. You can apply the 100 points you have earned to both certificates you are renewing, provided that the 100 points are still valid at the time your second certificate expires. Once your points are completed, they are valid for 10 years.

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Common Misconceptions About MOC  “I have to complete my modules before I can register or take the exam.”  “If I finish my MOC requirements early, it shortens my certificate.”  “I have to complete 100 points for each area of recertification if I hold more than one certificate.”

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Common Misconceptions About MOC  “My Medical Knowledge modules are good as exam review material”  “I am no longer clinically active, so I cannot recertify. I have no access to patients or patient charts and cannot complete the practice performance requirements.”  “My exam counts towards the 100-point Self Evaluation requirement”

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Common Misconceptions About MOC  “If my certification lapses, my modules won’t count and I’ll have to start the process all over again!”  “If I have accrued 100 Medical Knowledge points from external society-developed products like ACCSAP or MKSAP, I am not required to do a PIM.”

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Interventional Cardiology Maintenance of Certification  Did you sit for the Interventional Cardiology certification exam in 1999?  It’s time to renew your certificate in Interventional Cardiology!  Your current certificate is only valid through December 2009.

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Questions on MOC?  Go to www.abim.org “Maintain and Renew Your Certification” for general information.  Go to “Get Information by Subspecialty. Go to the Physician Login to enroll, check your status, order modules and register to take the exam.  Visit the ACC MOC Toolkit on Cardiosource, review the frequently asked questions and link to ABIM resources:  www.cardiosource.com/MOC